OPM asks whether federal health plans with premiums above a set limit should be dropped; comments due Nov. 16 on a program covering about 8.3 million

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A federal health plan whose premiums run above a set limit could be dropped from the program under an idea now before the public. The Office of Personnel Management published a request for information on September 15, 2026, asking whether there should be a threshold or upper limit on what a plan may charge for premiums in the Federal Employees Health Benefits Program. Comments must be received on or before November 16, 2026.

The notice goes one step further and asks whether a plan should be required to eliminate its offering if its premiums are not reduced. The Federal Employees Health Benefits Program, known as FEHB, covers approximately 8.3 million individuals, according to OPM’s notice, so a rule built on that idea would reach enrollees well beyond current employees, including retirees and family members.

Nothing has been decided. OPM labels the document a request for information, which means the agency is collecting views before deciding whether any rule is needed. Anyone enrolled in FEHB or the Postal Service Health Benefits Program, called PSHB, can file a comment before the deadline, and the comments will inform whether OPM moves to a formal proposal later.

The 155 comments OPM listed as received on the docket are a figure that keeps changing until the November 16 close.

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The two premium questions OPM put to the public

The first question is whether a plan’s premium should be capped at a threshold set by OPM. The second is what should follow if a plan crosses the line: OPM asks whether a plan should be required to eliminate the plan offering if the premiums are not reduced. Both are framed as questions, not proposals, and the notice does not name a dollar figure for any limit.

OPM says it wants to give enrollees “high value choices at competitive costs” and describes the request as part of exploring ways to manage premium growth under its fiscal 2026-2027 annual performance plan. The responses will help the agency decide whether changes to the current FEHB regulations are needed through future notice and comment rulemaking, the notice says. Any binding change would therefore require a separate proposal and a new round of public comment.

How many plans exist now

For plan year 2026, the notice counts 132 plan options from 47 carriers in the FEHB Program and 75 plan options from 17 carriers in the PSHB Program. Under the current regulation, 5 CFR 890.201(b)(3)(i), a carrier may offer three options, or two options and a high-deductible health plan. Taken together, the two programs offer 207 plan options from 64 carriers, and the Postal Service program accounts for 75 of them, a little over a third. The notice appears at 91 Fed. Reg. 58388.

Those numbers frame what a premium ceiling could touch. A plan that stayed above a threshold and did not cut its rates would, under the idea OPM floated, be dropped from the lineup, which leaves its enrollees to pick another option during open season.

Open season runs November 9 to December 14

The comment deadline falls one week after the start of the annual enrollment window. OPM’s open season page lists November 9 through December 14, 2026 as the dates for choosing a plan for the coming year. The notice points only to rulemaking that would come later, and a request for information by itself changes nothing about the plans on offer this open season. The public comment period, from September 15 to November 16, lasts 62 days, so it closes while open season is still in its first weeks and about a month before enrollment ends on December 14.

For enrollees, the practical stake is the premium itself. the question OPM is asking is whether the agency should draw a line above which a carrier must either cut its rates or lose its offering. The notice puts no number on that line, and it does not describe how it would be measured.

Filing a comment on the premium limit by November 16

The free route is the federal government’s own. The notice in the Federal Register says comments are submitted through the Federal Rulemaking Portal at regulations.gov, and each submission must include the agency name and the docket number or regulation identifier number. Regulations.gov lists the docket as OPM-2026-0661. The notice names Meredith Gitangu, a senior benefits analyst at OPM, at (202) 606-2678 as the contact for questions about the request.

A useful comment names the plan the writer is enrolled in, the premium paid, and what a loss of that plan would mean for access to doctors, prescriptions or a spouse’s coverage. Retirees on fixed incomes can say what a premium jump would cost relative to their annuity. The notice invites views on the premium question and the elimination question alike, so a comment can address one or both.

The notice’s own count of 132 FEHB options from 47 carriers is the baseline OPM is working from, and the November 16 close is the last date comments can be received.

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This article was produced with AI assistance and reviewed by The Financial Wire’s editorial team.

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